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[经手术切除治疗的脑膜瘤多发颅外转移瘤——病例报告]

[Multiple extracranial metastases from meningioma treated with surgical resection - a case report].

作者信息

Tatsuguchi Takaaki, Gotoh Kunihito, Marubashi Shigeru, Takahashi Hidenori, Kobayashi Shogo, Akita Hirofumi, Mikamori Manabu, Miyoshi Norikatsu, Sugimura Keijiro, Motoori Masaaki, Kishi Kentaro, Noura Shingo, Fujiwara Yoshiyuki, Ohue Masayuki, Yano Masahiko, Ishikawa Osamu, Sakon Masato

机构信息

Dept. of Gastrointestinal Surgery, Osaka Medical Center for Cancer and Cardiovascular Disease.

出版信息

Gan To Kagaku Ryoho. 2014 Nov;41(12):2518-20.

Abstract

A 73-year-old woman underwent a craniotomy for an atypical meningioma in 1993, and underwent re-excision for local recurrence 4 years later. In 2008, a chest X-ray film revealed 2 nodules in the right lung. A wedge resection of S2 and a middle lobectomy of the right lung were performed. Pathological findings indicated that the 2 tumors originated from the intracranial meningioma resected in 1993. In 2013, a computed tomography (CT) scan demonstrated hypervascular masses in the liver (S4), pancreatic body, and lower portion of the right kidney. She underwent partial hepatectomy, distal pancreatectomy, and partial nephrectomy, and the final diagnosis was hepatic, pancreatic, and renal metastases from meningioma. After 10 months, a transcatheter arterial embolization (TAE) was performed for hepatic recurrence (S5). She is presently doing well, 5 months after TAE, without any signs of recurrence.

摘要

一名73岁女性于1993年因非典型脑膜瘤接受开颅手术,4年后因局部复发接受再次切除。2008年,胸部X线片显示右肺有2个结节。对S2进行楔形切除术并对右肺进行中叶切除术。病理结果表明这2个肿瘤起源于1993年切除的颅内脑膜瘤。2013年,计算机断层扫描(CT)显示肝脏(S4)、胰体和右肾下部有高血运肿块。她接受了肝部分切除术、胰远端切除术和肾部分切除术,最终诊断为脑膜瘤肝、胰、肾转移。10个月后,因肝脏复发(S5)进行了经导管动脉栓塞术(TAE)。TAE术后5个月,她目前情况良好,无任何复发迹象。

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